Guardian Angels Health & Rehab Center - Hibbing Nursing Home
General Information
UPDATEFederal Provider Number
245239
Provider Name
GUARDIAN ANGELS HEALTH & REHAB CENTER
Provider Address
1500 EAST THIRD AVENUE
HIBBING, MN 55746
HIBBING, MN 55746
Provider Phone Number
2182318100
Provider SSA County
680
Provider County Name
St. Louis
Ownership Type
Non profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1981-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29438
Reported LPN Staffing Hours per Resident per Day
0.58438
Reported RN Staffing Hours per Resident per Day
0.69188
Reported Licensed Staffing Hours per Resident per Day
1.27625
Reported Total Nurse Staffing Hours per Resident per Day
3.57064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14625
Expected CNA Staffing Hours per Resident per Day
2.54820
Expected LPN Staffing Hours per Resident per Day
0.63669
Expected RN Staffing Hours per Resident per Day
0.99372
Expected Total Nurse Staffing Hours per Resident per Day
4.17860
Adjusted CNA Staffing Hours per Resident per Day
2.20930
Adjusted LPN Staffing Hours per Resident per Day
0.76181
Adjusted RN Staffing Hours per Resident per Day
0.52024
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44443
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
30
Cycle 1 Total Health Score
90
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
69.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Heritage Manor
321 Northeast Sixth Street |
CHISHOLM MN 55719 | 5.1 miles away
St Raphaels Health & Rehab Center
601 Grant Avenue |
EVELETH MN 55734 | 18.7 miles away
St Michaels Health & Rehab Center
1201 8th Street South |
VIRGINIA MN 55792 | 18.9 miles away
Fitzgerald Nh And Rehab
227 Mckinley Avenue |
EVELETH MN 55734 | 19 miles away
Essentia Health Virginia Care Cent
901 9th Street North |
VIRGINIA MN 55792 | 19.3 miles away
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